Unknown Individual – Physical Therapist, NPI 1922264993

Unknown Individual is a healthcare provider. based in Atlanta, Georgia. specializing in Physical Therapist. They hold a License No. PT01814 (GA). The NPI Number for Unknown Individual is 1922264993

Main info

Organization
Inactive
19 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1922264993
Phone
(770) 673-0093
Address
6160 PEACHTREE DUNWOODY RD STE B90
Deactivation Date
31 August 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7706730093
Graduation Year
2007 (19 years ago)
PAC ID
6204157043
Group Practice PAC ID
6204740046
Professional Enrollment ID
I20150605000892

Contacts

Other Endpoint
Atlanta
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness85
Years active:0State licenses:1Other namesUpdated within 12 months

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Provider Addresses for Unknown Individual

  • Peachtree Dunwoody Road, Atlanta, Georgia, 30328, United States

    ATLANTA, GA 303286040

    Phone: (770) 673-0093

    Fax: (770) 673-8368

    Type: Location

  • 377 Westridge Blvd

    Greenwood, IN 461422137

    Phone: (317) 888-4948

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30328)

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Provider's Procedures

Unknown Individual performs procedures in Physical Therapist. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYIN97110Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes1536221

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6204740046View full group profile

Reviews

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Frequently asked questions

What identifier follows Unknown Individual across health systems?
The NPI 1922264993 uniquely identifies Unknown Individual in U.S. healthcare data.
Does inactive mean outdated data for Unknown Individual?
Inactive status means the NPI record is not marked active in the public file — verify before making care decisions.
What does the directory say Unknown Individual does?
Insurance directories may phrase it differently, but here Unknown Individual maps to Physical Therapist. Clinical services aligned with this taxonomy classification.
Which community is linked to Unknown Individual?
Unknown Individual shows a connection to Atlanta, Georgia in registry-derived data.
Why is information missing for Unknown Individual?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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